TC3 was basically adopted and pretty much standard fare pre-GWOT.
Ranger First Responder which while maintaining CLS "standards" heavily focused on and covered the big things of bleeding control including rapid Tourniquet use (with everyone carrying one), decompression for tension hemo/pneumo, airway control, and early installation of IV access plus multiple EMT's per squad was being fired up before I got there. I remember that my first RFR in 98, the medical crew instructing specifically made mention of TCCC.
Then CPT Kotwal (mentioned above, went on to become the 75th Regimental Surgeon, worked the Haditha Dam, jumped into Rhino, etc, aka brilliant billy-badass with a stethoscope and rifle) as well as many others were instrumental in the push Regiment-wide towards a combination of increased knowledge and equipment distribution across the Battalion and Regiment as a whole. Every Ranger got trained to standard with continual recurring training as well as repeated implementation of casualty care in training events outside of dedicated medical training (Do something stupid, or just be the biggest guy in the squad and the OC's would render you a casualty). Recurring training to maintain certifications significantly exceeded the norm as well. BLS/RFR/PHTLS classes we'd hold routinely had combat casualty handling lanes where you'd rotate through as the dedicated "medic" and have to do casualty extraction after obstacle courses to get you warmed up prior to beginning the medical portion of the lane, EMT's would tag along with Medics as a 2nd man for work on the human patient simulator, etc.
Conventional side?
There was one CLS class done prior to when I showed up in Alaska with one per fire team being able to attend, and we did absolutely no recurring training that I can remember. I did everything I could hip-pocket and burnt a ton of supplies that I personally had built up, doing it. Had to teach my platoon medic how the hell to pack his aid bag, ended up giving him a spare aidbag I had since all he had was the baby M-5 when I showed up. We didn't even have casualty care components incorporated into any of our combined training up until we hit JRTC during the final push prior to them deploying. Even then, it was little more than "not killing the guy while putting him on a litter and having some semblance of a perimeter for a simulated extraction". They didn't even have any patient push training, loading in the med strykers, etc.
Maybe it's different elsewhere, but that was 04-06 timeframe.
Fuck, I ended up training/equipping the damn entire platoon with ETD's and tq's out of my own pocket because all they had was single X_SF_Med-Era issue fucking dressings... they were so old that the fabric for binding it to a patient would break 10 out of 10 times when you opened the folds from packing... The Bn PA tried to jump my shit for that, but my CO (former 1/75) ended up shutting him up when he showed the PA that the only credential the Bn senior medic trumped me on wasn't even medical.. ie, I didn't have a rocker. Needless to say, when the CO had a chat with me after hours one night whilst I was CQ and sharing some pizza (since CQ = voluntary day room extra training for my team/squad with pizza and soda provided by me) I was not impressed to hear that new fact. I did offer to do some classes which would get the medics some CME credit, but that didn't go anywhere.
The senior medic apparently didn't like hearing about coming up short in the officer's dick contest, since for some reason my shot records started to go missing every month with clockwork accuracy afterwards... his shenanigans didn't work though, since I kept full updated copies of my entire medical record.
This medical goat rodeo I just laid out was just icing on the triple layered Army Birthday sized shit-cake of operations micromanagement.
There's a reason I only half jokingly say that I didn't get PTSD from deploying repeatedly with 3/75, I got it from the conventional army stateside.
Ranger First Responder which while maintaining CLS "standards" heavily focused on and covered the big things of bleeding control including rapid Tourniquet use (with everyone carrying one), decompression for tension hemo/pneumo, airway control, and early installation of IV access plus multiple EMT's per squad was being fired up before I got there. I remember that my first RFR in 98, the medical crew instructing specifically made mention of TCCC.
Then CPT Kotwal (mentioned above, went on to become the 75th Regimental Surgeon, worked the Haditha Dam, jumped into Rhino, etc, aka brilliant billy-badass with a stethoscope and rifle) as well as many others were instrumental in the push Regiment-wide towards a combination of increased knowledge and equipment distribution across the Battalion and Regiment as a whole. Every Ranger got trained to standard with continual recurring training as well as repeated implementation of casualty care in training events outside of dedicated medical training (Do something stupid, or just be the biggest guy in the squad and the OC's would render you a casualty). Recurring training to maintain certifications significantly exceeded the norm as well. BLS/RFR/PHTLS classes we'd hold routinely had combat casualty handling lanes where you'd rotate through as the dedicated "medic" and have to do casualty extraction after obstacle courses to get you warmed up prior to beginning the medical portion of the lane, EMT's would tag along with Medics as a 2nd man for work on the human patient simulator, etc.
Conventional side?
There was one CLS class done prior to when I showed up in Alaska with one per fire team being able to attend, and we did absolutely no recurring training that I can remember. I did everything I could hip-pocket and burnt a ton of supplies that I personally had built up, doing it. Had to teach my platoon medic how the hell to pack his aid bag, ended up giving him a spare aidbag I had since all he had was the baby M-5 when I showed up. We didn't even have casualty care components incorporated into any of our combined training up until we hit JRTC during the final push prior to them deploying. Even then, it was little more than "not killing the guy while putting him on a litter and having some semblance of a perimeter for a simulated extraction". They didn't even have any patient push training, loading in the med strykers, etc.
Maybe it's different elsewhere, but that was 04-06 timeframe.
Fuck, I ended up training/equipping the damn entire platoon with ETD's and tq's out of my own pocket because all they had was single X_SF_Med-Era issue fucking dressings... they were so old that the fabric for binding it to a patient would break 10 out of 10 times when you opened the folds from packing... The Bn PA tried to jump my shit for that, but my CO (former 1/75) ended up shutting him up when he showed the PA that the only credential the Bn senior medic trumped me on wasn't even medical.. ie, I didn't have a rocker. Needless to say, when the CO had a chat with me after hours one night whilst I was CQ and sharing some pizza (since CQ = voluntary day room extra training for my team/squad with pizza and soda provided by me) I was not impressed to hear that new fact. I did offer to do some classes which would get the medics some CME credit, but that didn't go anywhere.
The senior medic apparently didn't like hearing about coming up short in the officer's dick contest, since for some reason my shot records started to go missing every month with clockwork accuracy afterwards... his shenanigans didn't work though, since I kept full updated copies of my entire medical record.
This medical goat rodeo I just laid out was just icing on the triple layered Army Birthday sized shit-cake of operations micromanagement.
There's a reason I only half jokingly say that I didn't get PTSD from deploying repeatedly with 3/75, I got it from the conventional army stateside.